Incidence and Management of Aggression by Health Care Providers in Federal Neuro-Psychiatric Hospital, Calabar (original) (raw)
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African Journal of Psychiatry, 2011
Objective: Aggression is a common feature in psychiatric in-patient units in Africa. The attitudes of psychiatric nurses and their perceptions of the frequency of in-patient aggression have not been explored in the Nigerian context. Method: Using a crosssectional study design, two self-report questionnaires (the Attitudes toward Aggression Scale (ATAS) and the Perception of the Prevalence of Aggression Scale (POPAS)) were administered to nursing staff (n=73) at two psychiatric facilities in Benin City, Nigeria. Results: Overall, nurses viewed aggression as offensive, destructive and intrusive. They were less likely to view it as a means of communication or serving protective functions. Verbal aggression was the commonest type of aggression experienced while sexual intimidation and suicide attempts were least common. Male nurses were more likely to experience physical violence and aggressive 'splitting' behaviours, while nurses with over a decade of professional experience were more likely to experience verbal and humiliating aggressive behaviours. In contrast to previous studies, fewer nurses required days off work due to aggressive behaviour. Conclusion: Aggression is commonly experienced by nurses in in-patient units in Nigeria. Their views were predominantly negative. Training programmes are required to change staff attitudes as well as research on the cultural factors mediating these attitude dispositions.
A 5-year review of physical and verbal aggression in a psychiatric ward in Ilorin, Nigeria
Objective: Violence on psychiatric wards is increasing globally. Its consequences are not just on the ward staff, but also other patients, relations and hospital facilities. There is a need for more studies especially in developing countries, where not many of such studies have been documented. The study aimed at determining the prevalence of aggression and its clinical and psychosocial factors in a tertiary psychiatric facility in Nigeria.
Al Insyirah International Scientific Conference on Health, 2021
The risk of violent behavior is the possibility of someone taking action that could hurt other people and the environment due to the inability to control angry constructively (CMHN, 2006). According to Riyadi and Purwanto (2009) the factors that contribute to violent behavior is Recurrence Risk biological factors, psychological factors, and socio-cultural factors. The research goal is to reveal the cause of the patient's risk of recurrence of violent behavior in Kuantan Mental Hospital Room Tampan. Types of research is a quantitative with descriptive design. The population in this study were all patients the risk of violent behavior 48 patients, the number of samples in this study were 30 people, this study using univariate analysis, which is done at each study variable, calculate the percentage of results of research to find out the results of the study. Results of research 19 respondents (63.1%) based on biological factors, 17 respondents (56.7%) based on psychological factors, 16 respondents (53.3%) based on the socio-cultural factors. Based on the results of research conducted by the researchers, it can be concluded who experienced the majority of the risk of violent behavior due to biological factors. From this research, it can be used as a comparison of the incidence of risk of violent behavior in the coming years and also as a benchmark in reducing the incidence of risk of violent behavior.
Mental Healthcare workers’ experiences in managing psychiatric patients’ aggression in Maseru
Health SA Gesondheid
Background: Aggression and violence in psychiatric clinical facilities are a common case, and mental healthcare workers utilise various management strategies to combat it. It is therefore crucial for mental healthcare workers to acquire skills for the management strategies of aggressive behaviour of psychiatric patients.Aim: The aim of the study was to describe mental healthcare workers’ experiences in the management strategies of aggressive and violent behaviour by psychiatric patients in Maseru district.Setting: A psychiatric hospital situated to the south in Maseru in the rural countryside and general hospital located in the western lowlands of Lesotho in the village of Morija were used.Methods: This study adopted a qualitative, exploratory, descriptive and contextual research design. There were two focus group interviews conducted per clinical facility, which consisted of six members in each group. There were four participants for individual interviews from psychiatric clinical ...
2010
Inpatient aggression in mental health settings is a significant concern because it compromises the quality of care provided by health care workers. Nurses are one of the groups most affected by inpatient aggression because they are usually the client's first contact on admission. A number of studies have found that nurses are the most frequently assaulted professional group both inside and outside of the hospital setting, are more frequently assaulted than doctors and most are likely to experience some form of aggression in their career. The causes of inpatient aggression are frequently conceptualised as multidimensional and involving factors internal to the client e.g. age, factors relating to the environment such as inflexible ward routines and factors relating to the quality of the interaction between nursing staff and clients. Research studies suggest that nurses generally respond reactively and rely heavily on physical control strategies rather than on interpersonal strategies in managing inpatient aggression. Contemporary literature suggests that the perceptions nurses hold about aggression and its causes influences their management of the event and that this process is mediated by a number of client, environment and nurse-related variables including age, education, gender, nursing experience, perceptions of aggression and its causes. Although the causes and management of inpatient aggression in nursing is well documented in the United Kingdom and some other West European countries, this is not the case for Africa and in the case of this study, for Botswana. No studies have attempted to find the nurses' perception, perception on the cause, and management of inpatient aggression in Africa and more so in Botswana.
Journal of Neurosciences in Rural Practice
Background The Mental Health Care Act of India, 2017 has for the first time focused on violence management interventions, especially restraint and seclusion in psychiatric settings, and recommended important guidelines in this aspect. Objective This situation has created a strong need to review the prevalence of violence in inpatient settings, associated clinical and social correlates keeping a preventive model in context. Hence, this study was undertaken to fulfill this need. Methods: A retrospective matched case–control chart review design was employed. All patients who exhibited at least one violent incident during their ward stay were included. For each case, the control was selected by individual matching based on age ± 2 years and gender from patients who were admitted during the study period but did not exhibit any violent incident. The information about the characteristics of violent incidents and management was also collected. Results 8.80% of patients exhibited at least on...
Factors Affecting the Emergency Management and Treatment of Aggressive and Violent
2013
Violence by inpatients against mental health personnel, fellow patients and people uninvolved in the patient’s treatment is a common and universal problem requiring urgent attention. The current study sought to investigate factors that are important or considered important by health personnel in making crucial decisions about emergency interventions in aggressive and violent inpatients in a mental institution in Zimbabwe. In particular, the study was intended to address three major objectives namely to identify factors relevant in influencing mental health workers’wide range of interventions in response to inpatient aggressive behaviour and violent incidents; to establish the degree to which mental health workers recognise factors that influence their management and treatment of violent behaviours in emergency situations and to determine the weight of importance attached to each factor identified by mental health workers as being important in their management and treatment of ag...
East Asian Archives of Psychiatry, 2019
Objectives: This cross-sectional study aimed to assess the prevalence, factors, and consequences of physical violence by mentally ill patients against mental health professionals. Methods: 124 of 145 mental health professionals at a Nigerian neuropsychiatric hospital satisfactorily completed a questionnaire on their experiences with physical assault. Results: 77 (62.1%) staff had been assaulted during their whole career; 38 (30.6%) of them were assaulted in the past 12 months. The most common type of assault was pushing (32.9%). The most common antecedent event to assault was calming an aggressive patient (44.1%). In their whole career, 22.1% of assaulted staff sustained injuries that required medical attention; 42.4% of assaulted staff sometimes or frequently/always experienced posttraumatic stress disorder symptoms. Physical assault in the whole career was associated with older age (p = 0.04), longer years of practice (p = 0.01), and job dissatisfaction (p = 0.05). Conclusions: Physical violence encountered by mental health professionals at a Nigerian neuropsychiatric hospital is substantial. Policy review of staff safety, training, and support is recommended.
Africa Journal of Nursing and Midwifery, 2021
Aggressive behaviour of inpatients in mental health facilities occurs globally and is a serious nursing problem. Consequently, there is insufficient research studies conducted among nurses regarding the types of aggressive behaviour displayed by patients in psychiatric institutions. The purpose of this study was to determine nurses’ perceptions regarding the types of aggressive behaviour displayed by patients in a selected psychiatric hospital in Lesotho. A quantitative descriptive survey was used to collect data from 119 nurses who were selected by quota sampling. The data were collected by means of a self-administered questionnaire, analysed by using SPSS (version 25), and displayed by using tables, frequencies, standard deviations, means and Pearson’s chi-square test. The findings reported that the types of aggressive behaviour included verbal aggression (86%, n = 103), physical aggression against objects (79%, n = 94), physical aggression against self (65.5%, n = 78), and physic...